Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonnie L Dejardin, AGNP-BC

Individual provider Nurse Practitioner · NPI 1225403157

Bonnie L Dejardin, AGNP-BC is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2014, 12 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
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Practice location Address checks out

704 S Webster Ave
Green Bay, WI 54301-3528
Phone: (920) 433-6050
Fax: (920) 433-6049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • N4359 Doell Rd, Luxemburg, WI 54217-8068 — (920) 536-0890

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6710-33 (WI)

Record details

NPI number1225403157
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedDecember 3, 2015
Last updated in NPPESJune 28, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Green Bay